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General NPI Number Information
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NPI Number | 1346493236
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Entity Type | Organization
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Legal Business Name | CARDIOSOM, LLC
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 10535 MONTGOMERY RD SUITE 200B
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City | CINCINNATI
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State | OH
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Zip | 45242-4448
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Country | US
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Telephone | 513-891-5100
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Fax | 513-891-5102
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Provider Business Mailing Address
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Address Line | 615 W CARMEL DR SUITE # 100
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City | CARMEL
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State | IN
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Zip | 46032-2996
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Country | US
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Telephone | 800-868-1920
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Fax | 800-868-1908
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | ERIN HALL
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Credential |
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Telephone | 800-868-1920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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